Goals - 360 Degree Feedback Survey Sample #5

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Goals	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Achieves established goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Sets high expectations and goals; encourages others to support the organization.
Understands & contributes to development of strategic goals.
Makes sure that I have a clear idea of our group's goals.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds and maintains the trust of others.
Is trustworthy; is someone I can trust.
Takes care to maintain confidential information.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Works in a way that makes others want to work with her/him.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Collaborates with others to accomplish goals and objectives.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Promotes the understanding of how the department affects the organization overall.
Supports a partnering/networking culture.
Creates the conditions for partnerships to grow and develop.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands complex issues and problems.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Able to align resources to meet the business needs of the company.
Considers impact of actions on other areas of the organization.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to adapt the department to changing business demands and climate.
Devotes a certain amount of time and effort to developing new business opportunities.
Has a strategic awareness on how to promote the organization.
Encourages dynamic growth opportunities.
Excellent at managing relationships with stakeholders.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Behaves in a way that is consistent with business values & code of conduct
Leads employees in new directions.
Creates a positive vision of the future for the Company.
Communicates a vision of where the Company needs to be in the future.
Works to support the strategy of [Company]

31. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for 's assessment.